Tumores metastásicos de ovario: revisión de casos clínicos

Metastatic tumours constitute approximately 15% of malignant tumours of the ovary. The most frequent primary tumours derive from the gastrointestinal tract, breast and endometrium. We review the metastatic ovarian tumour diagnosed in our Service in the last five years. The average age at diagnosis was 56.96 years. Two thirds were of non-gynaecological origin and the rest derived from the gynaecological organs and the breasts. Half of the patients presented with a gastrointestinal primary. The majority of the metastasis were diagnosed afterwards, were 5 cm or less in size and affected only one ovary. The predominant component of the tumours was solid. The clinical history of these patients was from nothing to pain and an increase in abdominal size. Treatment in all cases was surgical with additional chemotherapy and/or radiotherapy. At present, one third of the women have died.